Regression of Coronary Aneurysms With Intravenous Immunoglobulins and Steroids for COVID-19 Adult Multisystem Inflammatory Syndrome

JACC Case Rep. 2021 Apr;3(4):581-585. doi: 10.1016/j.jaccas.2021.01.012. Epub 2021 Mar 24.

Abstract

A multisystem inflammatory syndrome mimicking Kawasaki disease has been increasingly reported, mainly in children, in the context of coronavirus disease-2019 (COVID-19). We report on the first case of coronary aneurysm resolution after treatment with steroids and intravenous immunoglobulins in an adult patient with multisystem inflammatory syndrome temporally associated with COVID-19. (Level of Difficulty: Beginner.).

Keywords: COVID-19; COVID-19, coronavirus disease-2019; CRP, C-reactive protein; CT, computed tomography; IVIG, intravenous immunoglobulins; MIS, multisystem inflammatory syndrome; MIS-A, multisystem inflammatory syndrome in adults; MIS COVID-19; PIMS-TS, pediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2; SARS-COV-2; SARS-CoV-2, severe acute respiratory syndrome-coronavirus-2; TTE, transthoracic echocardiogram; coronary aneurysms; intravenous immunoglobulin.

Publication types

  • Case Reports